Profile of hypothyroidism in Down's syndrome.

作者: Ayşe Nurcan Cebeci , Ayla Güven , Metin Yıldız

DOI: 10.4274/JCRPE.884

关键词:

摘要: Objective: Although the association between Down’s syndrome (DS) and thyroid dysfunction is well recognized, cause of this condition not known. Methods: Hospital records patients with DS hypothyroidism referred to our clinic were retrospectively reviewed. Initial hormone thyrotropin (TSH) levels, age at admission, initial anthropometric measurements, beginning therapy, L-thyroxine (L-T4) doses, time normalization function tests, L-T4 dose last visit recorded. Thyroid ultrasound imaging was used measure size gland. Descriptive data expressed as mean±SD values. Skewed shown median interquartile ranges (IQR). Results: There 62 (32 male 30 female). Median TSH level first 10.40 (19.4) µIU/mL free T4 1.18 (0.43) ng/dL. no statistical difference in terms age, antibody volume doses boys girls. volumes 54 measured. Only nine these had a normal-sized total 0.89 (2.07) mL. negatively correlated (p=0.006, r=-0.387). Conclusions: We found high prevalence dysgenesis hypothyroidism. This has been reported before. Further studies investigating gland need be performed confirm results. Conflict interest:None declared.

参考文章(23)
S. McGowan, J. Jones, A. Brown, L. Reynolds, K. Leyland, P. Charleton, M. Rahim, M. Mansor, S. Ritha, M. Donaldson, , Capillary TSH screening programme for Down's syndrome in Scotland, 1997–2009 Archives of Disease in Childhood. ,vol. 96, pp. 1113- 1117 ,(2011) , 10.1136/ARCHDISCHILD-2011-300124
B Tüysüz, DB Beker, Thyroid dysfunction in children with Down's syndrome Acta Paediatrica. ,vol. 90, pp. 1389- 1393 ,(2007) , 10.1111/J.1651-2227.2001.TB01601.X
P A Gibson, Longitudinal study of thyroid function in Down's syndrome in the first two decades Archives of Disease in Childhood. ,vol. 90, pp. 574- 578 ,(2005) , 10.1136/ADC.2004.049536
Vee Prasher, Down Syndrome and Thyroid Disorders: A Review Down Syndrome Research and Practice. ,vol. 6, pp. 25- 42 ,(1999) , 10.3104/REVIEWS.95
Siegfried M. Pueschel, Thyroid Dysfunction in Down Syndrome Archives of Pediatrics & Adolescent Medicine. ,vol. 139, pp. 636- 639 ,(1985) , 10.1001/ARCHPEDI.1985.02140080106045
Roberto T. Zori, Desmond A. Schatz, Harry Ostrer, Charles A. Williams, Rebecca Spillar, William J. Riley, Relationship of autoimmunity to thyroid dysfunction in children and adults with Down syndrome. American Journal of Medical Genetics. ,vol. 7, pp. 238- 241 ,(2005) , 10.1002/AJMG.1320370748
M M Loudon, R E Day, E M Duke, Thyroid dysfunction in Down's syndrome. Archives of Disease in Childhood. ,vol. 60, pp. 1149- 1151 ,(1985) , 10.1136/ADC.60.12.1149
Teresa Sharav, Growth Studies in Infants and Children With Down's Syndrome and Elevated Levels of Thyrotropin Archives of Pediatrics & Adolescent Medicine. ,vol. 142, pp. 1302- 1306 ,(1988) , 10.1001/ARCHPEDI.1988.02150120056040
Rogelio H. A. Ruvalcaba, Incidence of Goiter in Patients With Down's Syndrome Archives of Pediatrics & Adolescent Medicine. ,vol. 118, pp. 451- 453 ,(1969) , 10.1001/ARCHPEDI.1969.02100040453006